1887

Abstract

Colonization of periodontopathic bacteria is associated with increased risk of systemic diseases. However, few studies have investigated the relationships between oral status factors and health-related quality of life (HR-QOL) and the prevalence of such bacteria in elderly individuals. This study investigated the prevalence of , , and in 165 community-dwelling functionally independent 85-year-old Japanese individuals (93 dentate, 72 edentulous) and the relationship to oral status, including oral malodour and HR-QOL. All four of the studied periodontopathic bacteria were found more frequently in tongue coating samples from dentate than edentulous subjects, and the prevalence of , and was significantly related to the number of teeth with a periodontal pocket depth ≥4 mm. These results suggest the existence of a stable circulation of periodontopathic bacteria between the gingival sulcus and tongue coating over time with teeth. In addition, the presence of teeth with a deep pocket and colonization of were positively related to the level of CHSH, whilst the number of present teeth contributed positively to HR-QOL, especially with regard to mental health. In conclusion, as the dentate state can retain colonization of periodontopathic pathogens in the oral cavity, both periodontal treatment and tongue care are important for maintaining a healthy oral status in the elderly, and possibly result in avoidance of risk for tooth loss and decline in HR-QOL, as well as protecting from systemic diseases.

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2010-11-01
2019-10-20
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References

  1. Akifusa, S., Soh, I., Ansai, T., Hamasaki, T., Takata, Y., Yohida, A., Fukuhara, M., Sonoki, K. & Takehara, T. ( 2005; ). Relationship of number of remaining teeth to health-related quality of life in community-dwelling elderly. Gerodontology 22, 91––97.[CrossRef]
    [Google Scholar]
  2. Anonymous ( 1996; ). Consensus Report. Periodontal diseases: pathogenesis and microbial factors. Ann Periodontol 1, 926––932.[CrossRef]
    [Google Scholar]
  3. Awano, S., Ansai, T., Takata, Y., Soh, I., Akifusa, S., Hamasaki, T., Yoshida, A., Sonoki, K., Fujisawa, K. & Takehara, T. ( 2008; ). Oral health and mortality risk from pneumonia in the elderly. J Dent Res 87, 334––339.[CrossRef]
    [Google Scholar]
  4. Caufield, P. W., Cutter, G. R. & Dasanayake, A. P. ( 1993; ). Initial acquisition of mutans streptococci by infants: evidence for a discrete window of infectivity. J Dent Res 72, 37––45.[CrossRef]
    [Google Scholar]
  5. Cortelli, J. R., Aquino, D. R., Cortelli, S. C., Fernandes, C. B., de Carvalho-Filho, J., Franco, G. C., Costa, F. O. & Kawai, T. ( 2008; ). Etiological analysis of initial colonization of periodontal pathogens in oral cavity. J Clin Microbiol 46, 1322––1329.[CrossRef]
    [Google Scholar]
  6. Danser, M. M., van Winkelhoff, A. J., de Graaff, J., Loos, G. G. & van der Velden, U. ( 1994; ). Short-term effect of full-mouth extraction on periodontal pathogens colonizing the oral mucous membranes. J Clin Periodontol 21, 484––489.[CrossRef]
    [Google Scholar]
  7. Fukuhara, S., Bito, S., Green, J., Hsiao, A. & Kurokawa, K. ( 1998a; ). ). Translation, adaptation, and validation of the SF-36 Health Survey for use in Japan. J Clin Epidemiol 51, 1037––1044.[CrossRef]
    [Google Scholar]
  8. Fukuhara, S., Ware, J. E., Kosinski, M., Wada, S. & Gandek, B. ( 1998b; ). ). Psychometric and clinical tests of validity of the Japanese SF-36 Health Survey. J Clin Epidemiol 51, 1045––1053.[CrossRef]
    [Google Scholar]
  9. Fukuhara, S., Suzukamo, Y., Bito, S. & Kurokawa, K. ( 2001; ). Manual of SF-36, Japanese version 1.2, pp. 19––26. Tokyo. : Public Health Research Foundation.
    [Google Scholar]
  10. Hämäläinen, P., Meurman, J. H., Keskinen, M. & Heikkinen, E. ( 2003; ). Relationship between dental health and 10-year mortality in a cohort of community-dwelling elderly people. Eur J Oral Sci 111, 291––296.[CrossRef]
    [Google Scholar]
  11. Herzberg, M. C. & Meyer, M. W. ( 1996; ). Effects of oral flora on platelets: possible consequences in cardiovascular disease. J Periodontol 67, 1138––1142.[CrossRef]
    [Google Scholar]
  12. Hugo, F. N., Hilgert, J. B., de Sousa Mda, L. & Cury, J. A. ( 2009; ). Oral status and its association with general quality of life in older independent-living south-Brazilians. Community Dent Oral Epidemiol 37, 231––240.[CrossRef]
    [Google Scholar]
  13. Ikeda, Y., Ohara-Nemoto, Y., Kimura, S., Ishibashi, K. & Kikuchi, K. ( 2004; ). PCR-based identification of Staphylococcus epidermidis targeting gseA encoding the glutamic-acid-specific protease. Can J Microbiol 50, 493––498.[CrossRef]
    [Google Scholar]
  14. Iwai, T., Inoue, Y., Umeda, M., Hung, Y., Kurihara, N., Koike, M. & Ishikawa, I. ( 2005; ). Oral bacteria in the occluded arteries of patients with Buerger disease. J Vasc Surg 42, 107––115.[CrossRef]
    [Google Scholar]
  15. Kimura, S., Ooshima, T., Takiguchi, M., Sasaki, Y., Amano, A., Morisaki, I. & Hamada, S. ( 2002; ). Periodontopathic bacterial infection in childhood. J Periodontol 73, 20––26.[CrossRef]
    [Google Scholar]
  16. Kishi, M., Kimura, S., Ohara-Nemoto, Y., Kishi, K., Aizawa, F., Moriya, T. & Yonemitsu, M. ( 2002; ). Oral malodor and periodontopathic microorganisms in tongue coat of periodontally healthy subjects. Dent Jpn 38, 24––28.
    [Google Scholar]
  17. Kishi, M., Abe, A. & Yonemitsu, M. ( 2005; ). Relationship between the SF-36 questionnaire and patient’s satisfaction following halitosis therapy. Oral Dis 11 (Suppl. 1), 89––91.[CrossRef]
    [Google Scholar]
  18. Kitamura, T., Kawamura, T., Tamakoshi, A., Wakai, K., Ando, M. & Ohno, Y. ( 2009; ). Rational, design, and profiles of the New Integrated Suburban Seniority Investigation (NISSIN) project: a study of an age-specific, community-based cohort of Japanese elderly. J Epidemiol 19, 237––243.[CrossRef]
    [Google Scholar]
  19. Kshirsagar, A. V., Offenbacher, S., Moss, K. L., Barros, S. P. & Beck, J. D. ( 2007; ). Antibodies to periodontal organisms are associated with decreased kidney function. Blood Purif 25, 125––132.[CrossRef]
    [Google Scholar]
  20. Lockhart, P. B., Brennan, M. T., Thornhill, M., Michalowicz, B. S., Noll, J., Bahrani-Mougeout, F. K. & Sasser, H. C. ( 2009; ). Poor oral hygiene as a risk factor for infective endocarditis-related bacteremia. J Am Dent Assoc 140, 1238––1244.[CrossRef]
    [Google Scholar]
  21. Ng, S. K. S. & Leung, W. K. ( 2006; ). Oral health-related quality of life and periodontal status. Community Dent Oral Epidemiol 34, 114––122.[CrossRef]
    [Google Scholar]
  22. Ohara-Nemoto, Y., Kishi, K., Satho, M., Tajika, S., Sasaki, M., Namioka, A. & Kimura, S. ( 2005; ). Infective endocarditis caused by Granulicatella elegans originating in the oral cavity. J Clin Microbiol 43, 1405––1407.[CrossRef]
    [Google Scholar]
  23. Percival, R. S., Challacombe, S. J. & Marsh, P. D. ( 1991; ). Age-related microbiological changes in the salivary and plaque microflora of healthy adults. J Med Microbiol 35, 5––11.[CrossRef]
    [Google Scholar]
  24. Sachdeo, A., Haffajee, A. D. & Socransky, S. S. ( 2008; ). Biofilms in the edentulous oral cavity. J Prosthodont 17, 348––356.[CrossRef]
    [Google Scholar]
  25. Saito, D., Coutinho, L. L., Borges Saito, C. P., Tsai, S. M., Höfling, J. F. & Gonçalves, R. B. ( 2009; ). Real-time polymerase chain reaction quantification of Porphyromonas gingivalis and Tannerella forsythia in primary endodontic infections. J Endod 35, 1518––1524.[CrossRef]
    [Google Scholar]
  26. Senpuku, H., Tada, A., Yamaga, T., Hanada, N. & Miyazaki, H. ( 2004; ). Relationship between volatile sulphide compounds concentration and oral bacteria species detection in the elderly. Int Dent J 54, 149––153.[CrossRef]
    [Google Scholar]
  27. Shimazaki, Y., Soh, I., Saito, T., Yamashita, Y., Koga, T., Miyazaki, H. & Takehara, T. ( 2001; ). Influence of dentition status on physical disability, mental impairment, and mortality in institutionalized elderly people. J Dent Res 80, 340––345.[CrossRef]
    [Google Scholar]
  28. Terpenning, M. S., Taylor, G. W., Lopatin, D. E., Kerr, C. K., Dominguez, B. L. & Loesche, W. J. ( 2001; ). Aspiration pneumonia: dental and oral risk factors in an older veteran population. J Am Geriatr Soc 49, 557––563.[CrossRef]
    [Google Scholar]
  29. Thorstensson, H. & Johansson, B. ( 2009; ). Does oral health say anything about survival in later life? Findings in a Swedish cohort of 80+ years at baseline. Community Dent Oral Epidemiol 37, 325––332.[CrossRef]
    [Google Scholar]
  30. Tonzetich, J. & Ng, S. K. ( 1976; ). Reduction of malodor by oral cleansing procedures. Oral Surg 42, 172––181.[CrossRef]
    [Google Scholar]
  31. WHO ( 1997; ). Oral Health Surveys. Basic Methods, 4th edn. Geneva. : World Health Organization.
    [Google Scholar]
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